| NPI | 1720648405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P013008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013639) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2021-06-23 |